OntarioMD i4C Dashboard Indicator Library

EMR i4C Dashboard Specification

The EMR i4C Dashboard Specification identifies the functional requirements for implementing the i4C Dashboard in an EMR Offering. It defines a dashboard that supports the visual representation of provincial health indicators.

Refer to our EMR Specifications Library for the current EMR i4C Dashboard Specification.

 

i4C Dashboard Indicator Library

The i4C Dashboard Indicator Library lists all provincial health indicators established by OntarioMD in collaboration with other health organizations such as AFHTO, CIHI, ICES and HQO.  These indicators support the EMR i4C Dashboard Specification in a certified EMR Offering. The technical details for each indicator are defined through a set of meta-data.

The i4C Dashboard Indicator Library consists of Draft For Comment, Draft For Use, and Final i4C Dashboard Indicators, identified as such under the Status column of the List of Available i4C Dashboard Indicators below.

  • Final signifies that validation for the i4C Dashboard Indicator is available for an EMR Offering through an i4C Indicator Release.
  • Draft For Use (DFU) signifies that the i4C Dashboard Indicator is stable and ready for use but not currently included within an i4C Indicator Release.
  • Draft For Comment (DFC) signifies that the i4C Dashboard Indicator is still in development but available for consultation/feedback. As a Draft For Comment, additional updates are expected.

To view the list of indicators pertaining to a specific category, click on the respective Indicator Category.

All rights reserved.  No use of the OntarioMD Indicator Library is permitted except under license with OntarioMD


List of Available i4C Dashboard Indicators Categories

Chronic Disease Management

Care Bonus

Preventive Health Care

Medication Management

Practice Management

Coronary Artery Disease

Care Bonus

Allergies

Antibiotics

Hospitalization

COPD

Baby and Child Well-being

Opioids

Patient Status

Depression

 

Blood Pressure

Other

 

Diabetes

 

Cancer

Psychoactive

 

Hypertension

 

Immunizations

Seniors

 


 

Obesity


 


 

Smoking


 


Full details of each indicator can be downloaded individually by clicking on the respective Indicator Name, or by clicking on the “Download all Indicators” link to download the set of all available indicators.

Download  all Indicators

List of Available i4C Dashboard Indicators



Indicator

ID

Indicator Name

Purpose

Source

Version

Status

Publication
Date

Coronary Artery Disease (CDM)

CDM-CAD-001

CAD Identification

This indicator is used to identify patients with Coronary Artery Disease (CAD).

OntarioMD

2.0

Final

2019-07-15

CDM-CAD-002

CAD Testing Status

This indicator is used to identify patients who are missing elements of care commonly associated with Coronary Disease Management.

CIHI

2.0

Final

2019-07-15

CDM-CAD-003

CAD Overdue Items

This indicator is used to identify patients missing specific elements of care used in the CAD Testing Status indicator.

CIHI

2.0

Final

2019-07-15

COPD (CDM)

CDM-COPD-001

COPD Identification

This indicator is used to identify patients with Chronic Obstructive Pulmonary Disease (COPD).

CPCSSN

1.0

DFC

2020-01-31

CDM-COPD-002

COPD Smoking Counselling

This indicator is used to Identify patients with COPD who may be eligible for smoking cessation counselling.

HQO

1.0

DFC

2020-01-31

CDM-COPD-003

COPD Inhaled

Corticosteroids Prescribed


This indicator is used to Identify patients with COPD who receive inhaled corticosteroid monotherapy.

HQO

1.0

DFC

2020-01-31

CDM-COPD-004

COPD Short-Acting Bronchodilator Prescribed

This indicator is used to Identify patients with COPD with short-acting bronchodilator prescribed in the past year.

HQO

1.0

DFC

2020-01-31

CDM-COPD-005

COPD Influenza

Immunization

This indicator is used to identify patients age 65+ with COPD who are immunized against influenza.

HQO

1.0

DFC

2020-01-31

CDM-COPD-006

COPD Pneumococcal Immunization

This indicator is used to identify patients with COPD who are immunized against pneumonia.

HQO

1.0

DFC

2020-01-31

Depression (CDM)

CDM-DEP-001

Depression PHQ9 Screening Status

This indicator is used to identify patients with depression who have not completed a PHQ9 questionnaire within the past 12 months.

HQO

1.0

DFC

2020-01-31

Diabetes (CDM)

CDM-DIAB-001

Diabetes Identification

This indicator is used to identify patients with diabetes.

OntarioMD

2.0

Final

2019-07-15

CDM-DIAB-002

Diabetes HbA1c

Testing Status

This indicator is used to identify patients with diabetes who have had less than two HbA1c tests within the past 12 months.

HQO

2.0

Final

2019-07-15

CDM-DIAB-003

Diabetes with HbA1c in Range

This indicator is used to identify patients with diabetes whose most recent glycemic control in the last 12 months was in the following ranges: 

  • HbA1c <= 7%
  • 7% < HbA1c <= 8.5%
  • HbA1c > 8.5%

AFHTO

2.0

Final

2019-07-15

CDM-DIAB-004

Diabetes Assessment Billed

This indicator is used to identify patients with diabetes for whom Diabetes Management Assessment code K030 has been billed less than the maximum allowable number of times in the past 12 months.

HQO

1.0

DFC

2020-01-31

CDM-DIAB-005

Diabetes Management Incentive Billed

This indicator is used to identify patients with diabetes for whom Diabetes Management Incentive code Q040 has not been billed in the past 12 months.

HQO

1.0

DFC

2020-01-31

CDM-DIAB-006

Diabetes Retinal Exam
Status

This indicator is used to identify patients with diabetes for whom a retinal screening has not been done in the past 24 months.

HQO

1.0

DFC

2020-01-31

CDM-DIAB-007

Diabetes Foot Exam Status

This indicator is used to identify patients with diabetes for whom a diabetic foot exam has not been done in the past 12 months.

HQO

1.0

DFC

2020-01-31

CDM-DIAB-008

Diabetes Microalbuminuria Testing Status

This indicator is used to identify patients with diabetes for whom a microalbuminuria screening has not been done in the past 12 months.

HQO

1.0

DFC

2020-01-31

CDM-DIAB-009

Diabetes Creatinine Testing Status

This indicator is used to identify patients with diabetes for whom an eGFR screening or serum creatinine test has not been done in the past 12 months.

HQO

1.0

DFC

2020-01-31

CDM-DIAB-010

Diabetes BMI Recorded

This indicator is used to identify patients with diabetes for whom BMI has not been recorded in the past 12 months.

HQO

1.0

DFC

2020-01-31

CDM-DIAB-011

Diabetes Statins

Prescribed

This indicator is used to Identify patients with diabetes who have been prescribed statins in the past 12 months

HQO

1.0

DFC

2020-01-31

Hypertension (CDM)

CDM-HTN-001

HTN Identification

This indicator is used to identify patients with Hypertension.

OntarioMD

2.0

Final

2019-07-15

CDM-HTN-002

HTN Testing Status

This indicator is used to identify patients with one or more completed elements of care commonly associated with Hypertension.

CIHI

2.0

Final

2019-07-15

CDM-HTN-003

HTN Overdue Items

This indicator is used to identify patients missing specific elements of care used in the Hypertension Testing Status indicator.

CIHI

2.0

Final

2019-07-15

CDM-HTN-004

HTN BP In Control

This indicator is used to identify patients with Hypertension, both with and without diabetes, whose latest blood pressure reading is above the recommended target.

CIHI

1.0

DFC

2020-01-31

Care Bonus (Care Bonus)

CARE-BNS-001

Preventive Care Bonus Breast

Cancer Screening


This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus.

MOHLTC

2.0

Final

2019-07-15

CARE-BNS-002

Preventive Care Bonus Cervical Cancer Screening

This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus.

MOHLTC

2.0

Final

2019-07-15

CARE-BNS-003

Preventive Care Bonus Colorectal Cancer Screening

This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus.

MOHLTC

2.0

Final

2019-07-15

CARE-BNS-004

Preventive Care Bonus Childhood Immunizations

This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus.

MOHLTC

2.0

Final

2019-07-15

CARE-BNS-005

Preventive Care Bonus Influenza Immunization

This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus.

MOHLTC

2.0

Final

2019-07-15

Antibiotics (Medication Management)

MED-ABX-001

Use of Antibiotics

This indicator is used to identify patients prescribed any type of antibiotic within the past year.

HDC

1.0

DFC

2020-01-31

Opioids (Medication Management)

MED-OPI-001

Opioids Prescribed

This indicator is used to identify non-palliative care patients who currently are prescribed one or more opioids.

HQO

2.0

Final

2019-07-15

MED-OPI-002

Opioid and

Benzodiazepine Co-prescribing


This indicator is used to identify non-palliative care patients with one or more current opioid prescriptions who also have one or more current benzodiazepine prescriptions.

HQO

2.0

Final

2019-07-15

MED-OPI-003

Opioid Daily Dosage: Total MMEq/day

This indicator is used to identify patients who have a high cumulative daily dosage of opioids based on current opioid prescriptions.

HQO

2.0

Final

2019-07-15

MED-OPI-004

Opioid High-Risk Co-prescribing

This indicator is used to identify patients with a current opioid prescription who also have a current prescription for a benzodiazepine, z-drug, pregabalin, or gabapentin.

NHS

1.0

DFC

2020-01-31

MED-OPI-005

Buprenorphine Prescribed

This indicator is used to identify patients with a current buprenorphine prescription used to treat opioid addiction.

CAMH

1.0

DFC

2020-01-31

Other Drugs (Medication Management)

MED-OTH-001

Digoxin Medication Use

This indicator is used to identify patients prescribed Digoxin within the past year.

HDC

1.0

DFC

2020-01-31

MED-OTH-002

Concurrent Use Of NSAID With  Anticoagulants

This indicator is used to identify patients currently prescribed a Non-steroidal anti-inflammatory drug (NSAID), and who are currently prescribed an anticoagulant.

NHS

1.0

DFC

2020-01-31

MED-OTH-003

Concurrent Use Of NSAID, RAS Drug, and Diuretic

This indicator is used to identify patients currently prescribed a Non-steroidal anti-inflammatory drug (NSAID) AND a Renin-angiotensin system blocking drug (RAS) AND a diuretic.

NHS

1.0

DFC

2020-01-31

MED-OTH-004

Anticoagulant Use and Monitoring

This indicator is used to identify patients currently prescribed a Direct Oral Anticoagulant (DOAC) who have not been recently monitored for kidney functioning with a eGFR screening.

Sweden

1.0

DFC

2020-01-31

Psychoactive (Medication Management)

MED-PSY-001

Antidepressants Prescribed

This indicator is used to identify patients who have been prescribed an antidepressant medication.

HDC

1.0

DFC

2020-01-31

MED-PSY-002

Antipsychotics Prescribed

This indicator is used to identify patients who have been prescribed an antipsychotic medication.

HDC

1.0

DFC

2020-01-31

MED-PSY-003

Benzodiazepines Prescribed

This indicator is used to identify patients who have been prescribed a benzodiazepine medication.

HDC

1.0

DFC

2020-01-31

MED-PSY-004

Nonbenzodiazepine Sleep Drugs Prescribed

This indicator is used to identify patients who have been prescribed a Nonbenzodiazepine medication for sleeping (z-drug).

Sweden

1.0

DFC

2020-01-31

Seniors (Medication Management)

MED-SNRS-001

Polypharmacy: 65+

This indicator is used to identify patients 65+ who are currently prescribed multiple medications.

HQO

1.0

DFC

2020-01-31

Hospitalization (Practice Management)

PRM-HOSP-001

Seven-day Follow-up After Discharge From Hospital

This indicator is used to identify patients discharged from a hospital within the past 12 months who did not receive follow-up care from their primary care clinic within seven days.

HQO

1.0

DFC

2020-01-31

Patient Status (Practice Management)

PRM-PAT-001

Patient Status

This indicator provides an overview of the patient population based on patient demographic status recorded in the EMR.

OntarioMD

2.0

Final

2019-07-15

Allergies (Preventive Health Care)

PHC-ALRG-001

Allergies Recorded

This indicator is used to identify patients with allergy information documented.

HQO

1.0

DFC

2020-01-31

Baby and Child Well-being (Preventive Health Care)

PHC-CHLD-001

Enhanced Well-baby Visit

This indicator is used to recall patients who have not been seen for an 18-month well-baby visit.

HQO

1.0

DFC

2020-01-31

Blood Pressure (Preventive Health Care)

PHC-BP-001

BP Testing

This indicator is used to identify patients who haven’t had their blood pressure measured in the past two years.

CIHI

1.0

DFC

2020-01-31

Cancer (Preventive Health Care)

PHC-CAN-001

Patient Care Breast Cancer Screening

This indicator is used to assist with the management of preventive screening for breast cancer.

CIHI

2.0

Final

2019-07-15

PHC-CAN-002

Patient Care Breast Cancer Screening Overdue

This indicator is used to prioritize patients that need a recall for breast cancer screening.

CIHI

2.0

Final

2019-07-15

PHC-CAN-003

Patient Care Cervical Cancer Screening

This indicator is used to assist with the management of preventive screening for cervical cancer.

HQO

2.0

Final

2019-07-15

PHC-CAN-004

Patient Care Cervical Cancer Screening Overdue

This indicator is used to prioritize patients that need a recall for cervical cancer screening.

HQO

2.0

Final

2019-07-15

PHC-CAN-005

Patient Care Colorectal Cancer Screening

This indicator is used to assist with the management of preventive screening for colorectal cancer.

CIHI

2.0

Final

2019-07-15

PHC-CAN-006

Patient Care Colorectal Cancer Screening Overdue

This indicator is used to prioritize patients that need a recall for colorectal cancer screening.

CIHI

2.0

Final

2019-07-15

Obesity (Preventive Health Care)

PHC-OBES-001

Obesity Screening

This indicator is used to identify patients who are currently overweight or obese.

CIHI

2.0

Final

2019-07-15

Immunizations (Preventive Health Care)

PHC-IMM-001

Patient Care

Childhood Immunizations


This indicator is used to recall patients who have not completed routine childhood immunizations.

AFHTO

2.0

Final

2019-07-15

PHC-IMM-002

Patient Care

Childhood Immunizations Recall


This indicator is used

to recall patients who have not completed routine childhood immunizations by their 30th month of age.

AFHTO

2.0

Final

2019-07-15

PHC-IMM-003

Patient Care

Influenza Immunization

This indicator is used to identify patients age 65+ who are immunized against influenza.

CIHI

2.0

Final

2019-07-15

PHC-IMM-004

Pneumococcal Immunization

This indicator is used to identify patients age 65+ who are immunized against pneumonia.

HQO

2.0

Final

2019-07-15

PHC-IMM-005

HPV Vaccination

This indicator is used to identify patients who are immunized for Human papillomavirus (HPV).

HQO

1.0

DFC

2020-01-31

PHC-IMM-006

Meningococcal

Vaccination


This indicator is used to identify patients who are immunized for Meningococcal disease.

HQO

1.0

DFC

2020-01-31

Smoking (Preventive Health Care)

PHC-SMK-001

Smoking Status

This indicator is used to identify patients without smoking status documented.

AFHTO

2.0

Final

2019-07-15